老年人髋关节周围骨折的护理对策和效果分析

目的通过对老年髋关节周围骨折患者的综合护理，探讨老年人髋关节周围骨折的护理对策和效果分析。 方法选取河北医科大学第三医院手术室2015年2月至2018年2月收治的42例老年髋关节周围骨折患者作为研究对象，根据随机对照双盲法进行分组，对照组(21人)患者进行常规护理，观察组(21人)进行综合护理(包括心理护理、睡眠护理、辅助患者进行术后功能锻炼等)，应用Student’s t-test或卡方检验比较两组患者的主观满意度、住院时间、患者的活动情况(Harris评分)和并发症的发生情况。 结果观察组患者的主观满意度显著高于对照组，差异具有统计学意义(χ²＝7.000，P<0.05)；观察组患者的住院时间短于对照组，但差异没有统计学意义(t＝1.158，P>0.05)；观察组患者的Harris评分显著高于对照组，差异具有统计学意义(t＝18.482，P<0.05)；观察组患者并发症显著低于对照组，差异具有统计学意义(χ²＝4.725，P<0.05)。 结论综合护理可减少并发症的发生，提高老年髋关节周围骨折患者的主观满意度及患者的活动情况，对促进老年髋关节周围骨折患者康复有重要的临床意义。

Nursing strategy and effect analysis of hip periarticular fracture in the elderly

ObjectiveTo discuss effects of the comprehensive nursing and the nursing strategies of the elderly patients with hip fractures. MethodsForty-two elderly patients with peri-hip fracture admitted to the operating room of the third hospital of Hebei Medical University from February 2015 to February 2018 were selected as the research objects. They were randomly divided into two groups, 21 patients each. The control group received routine nursing, the observation group received comprehensive nursing(including psychological care, sleep care, assisting patients for postoperative functional exercise, etc.). Student’s t-test or Chi-square test was used to compare subjective satisfaction, length of hospital stay, patient activity (Harris score), and complications. ResultsSubjective satisfaction of the observation group was significantly higher than that of the control group, the difference was statistically significant (χ²=7.000, P<0.05); the hospitalization time of the observation group was shorter than that of the control group, but the difference was not statistically significant (t=1.158, P>0.05); the Harris score of the observation group was significantly higher than that of the control group, the difference was statistically significant (t=18.482, P<0.05); the complication of the observation group was significantly lower than that of the control group, the difference was statistically significant (χ²=4.725, P<0.05). ConclusionComprehensive nursing can reduce the occurrence of complications, improve the subjective satisfaction of patients with hip fractures and the activities of patients, and have important clinical significance for promoting the rehabilitation of elderly patients with hip fractures.